Justice Stocktake 2025
Adelaide
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Social justice in Adelaide
The most striking result from the Stocktake is the extraordinary consensus across Australia about what issues we are seeing.
58.5% identified housing affordability and homelessness as an issue in their community
Adelaide, like the rest of Australia, is experiencing a housing crisis. In Adelaide, 58.5 per cent of people identified housing affordability and homelessness as an issue in the community and 28.3 per cent identified it as an issue for themselves. This is even higher than the result recorded in the 2022 Social Justice Stocktake of 47.1 per cent for housing affordability and 40.4 per cent for homelessness. The best estimates available suggest there are around 1515 people experiencing homelessness in Adelaide alone[1] and there is an unmet housing need of 4400 dwellings[2] . Not having a safe and secure home makes every part of life more difficult. Addressing issues in the housing system (and ending homelessness) is foundational to addressing the other social justice issues identified in this report.
Mental health was the top issue, alongside housing affordability and homelessness, identified by people in Adelaide in terms of the community and the second issue for themselves. At the last Stocktake, mental health was identified by around 48.1 per cent of people in Adelaide. At the last Census, in Adelaide, 9 per cent of people reported being diagnosed with a long-term mental health condition, including depression or anxiety.[3] Mental health is connected to every other social justice concern raised in this report and particularly linked with housing stress and homelessness.[4] The Salvation Army's own experience has shown that mental ill health can drive and result from other forms of disadvantage as well as exacerbate and be exacerbated by other experiences of hardship. When we consider mental health, we need to consider that a purely medical response must be complemented by actions that address underlying disadvantage. The best possible clinical care will be less effective if a person is living in their car or unsafe in their home.
Access to health care was introduced to the Social Justice Stocktake for the first time in 2025 and appeared in the top five issues in the vast majority of electorates. In Adelaide, 45.3 per cent identified it as an issue in the community and 34.9 per cent when thinking about their own lives. Nationally, there has been a decline in bulk billing across Australia by four per cent,[5] with fewer than 25 per cent of GPs offering bulk billing across the country[6] . In South Australia, 11.3 per cent of GP clinics offered bulk billing.[7] In Adelaide, 33.9 per cent of GP clinics offered bulk billing.[8] Adelaide saw a decline in patients being entirely bulk billed by 1.6 percentage points.[9] In South Australia, the average out of pocket cost, additional to the Medicare rebate for GP visits, was $38.68.[10] In Adelaide, 17.5 per cent of people felt they had waited longer than acceptable for an appointment with a GP, less than the national average of 18.6 per cent.[11]
The rising cost of living has impacted everyone in Australia in some way and Adelaide is no exception. 45.3 per cent of respondents in Adelaide reported that financial hardship and inclusion was an issue in their community and 23.6 per cent identified it when thinking about themselves. This compares with 23.1 per cent who identified the same issue for their community in the 2022 Stocktake. Though the overall child poverty rate in South Australia is 17.3 per cent, it is much higher in some areas, for example The Parks in Adelaide, where the child poverty rate is 27.1 per cent.[12] Roughly 9945 people living in Adelaide are reliant on JobSeeker or Youth Allowance.[13] The rates of both these payments are demonstrably too low and have the unintended consequence of trapping people in poverty.
When respondents to the Stocktake survey considered issues in their community, alcohol and drug misuse appeared in the top five of 120 electorates and seven of the eight states and territories. 38.7 per cent identified it as an issue in the Adelaide community. Across South Australia, the rate of drug-induced deaths was slightly higher than the national average of 6.9 deaths per 100,000, with 7 deaths per 100,000.[14] The proportion of druginduced deaths in South Australia was highest for people living in major city areas (73 per cent), however the highest rate of druginduced deaths was recorded among people in inner regional areas.[15] Across Adelaide's local primary health network, the rate of drug-induced deaths was higher than the state average, with 9.2 deaths per 100,000.[16] Interestingly, alcohol and other drug misuse did not appear as a top five issue when respondents considered themselves in any electorate, state or territory. Although we did not collect information to explain this difference it is reasonable to assume that media attention to harm caused by alcohol and other drugs may have made this issue front of mind for respondents.
The electorate of Adelaide contains the area of The Parks, where 7.3 per cent of people were experiencing unemployment in March 2024.[17] This rate was higher than the national unemployment rate at that time of 3.9 per cent.[18]
In Adelaide, 34.9 per cent of people identified climate change as an issue in the community and 38.7 per cent identified it as an issue for themselves. This meant that while it was not in the top five issues in the community, it was the most common response when people considered their own lives. The Climate Risk Map predicts that by 2050 with a 'medium' emission scenario, 3.7 per cent of properties in Adelaide will be at risk.[19] An extraordinary 84 per cent of people in Australia have identified that they personally have been affected by a climate event or extreme weather[20] so it is an indication of how serious the other social justice issues are that climate change, while ranking highly, does not rank higher.
Adelaide echoed the general sentiment of Australia when asked what could be done about these issues and what decision-makers needed to know. We heard from respondents in Adelaide a strong sense of urgency as well as reflection on the need for politics to be put to the side and immediate action taken.
“Everyday Australians are suffering and children such as my own are missing out on life skills like swimming lessons because we don't have enough money."
"You have abandoned younger and future generations for short term political gain.”
Housing affordability and homelessness
Homelessness is a widespread and serious issue in Australia — on any given night, 122,494 people in Australia are homeless;[21] however the number is likely much higher given the numbers of people not recorded as “no fixed address” and the increasing impact of a tight rental market.
Homelessness is when a person does not have suitable accommodation — that might mean that a person’s dwelling is inadequate, they do not have any security that they can stay where they are or they do not have control over their space.[22] Homelessness is a result of systemic and structural issues such as poverty, low income, and a lack of safe, affordable housing. The cost of homelessness to individuals, our community and economy is enormous, and increases the longer the individual remains homeless.
People who have experienced family and domestic violence, young people, children on care and protection orders, Indigenous Australians, people leaving health or social care arrangements, and Australians aged 45 or older are among some of the people most likely to experience homelessness.[23] Housing affordability relates to the relationship between expenditure on housing (prices, mortgage payments or rents) and household incomes. Any type of housing (including rental housing or home ownership, permanent or temporary, for-profit, or not-for-profit) is considered affordable if it costs less than 30 per cent of household income.
Access to appropriate, affordable, and secure housing is the basis of any individual and family’s engagement in work, education and social participation. In real terms, having a safe and secure home means having the breathing space to focus on thriving.
23% experiencing homelessness 12-24 yrs old
In 2021, 23 per cent of all people experiencing homelessness were aged between 12 and 24.[24]
640K Households
Around 640,000 households in Australia are not having their housing needs met.[25]
174.6K waiting
As at June 2022, there were 174,600 households waiting to be allocated public housing, with 68,000 of these households being considered of “greatest need”.[26]
In a 2024 snapshot, it was found that only three rentals across the entire country were affordable for a single person receiving the JobSeeker Payment and there were no affordable rentals for someone receiving Youth Allowance.[27]
1M low-income households
In 2019-20, approximately one million low-income households were in financial housing stress, meaning they were spending more than 30 per cent of their income on housing.[28]
We have the power to make a difference
We can urge action from our governments
All governments can commit to ending homelessness. This will involve all governments working together to address the structural drivers of homelessness such as poverty, low income, and the lack of social and affordable housing.
Critically, while the Housing Australia Future Fund is a start, it is critical that funding for affordable housing is not at the expense of social housing — both need to be fully funded. Governments need to work together to rapidly increase access to social housing, committing to building up social housing stock to be at least 10 per cent of total housing stock. This will relieve pressure across the entire housing continuum.
We can implement change in our community and our workplaces
Homelessness is extremely isolating and there are many places in our community where people experiencing homelessness do not feel welcome. Our community groups can ensure they remain open to people who are homeless by keeping the cost of activities and membership as low as possible or considering arrangements for lower fees for people experiencing financial hardship. Places of business can also make sure that people experiencing homelessness are welcome and do not experience stigma or discrimination when they are in public spaces. Community groups and businesses that have facilities might investigate whether they can create events or opportunities to share those facilities, such as having community dinners. We might also be able to make facilities such as showers and toilets available for use by members of the public who may not have access to a safe and secure place themselves.
We can have influence in our personal lives
There is a lot of stigma and shame associated with experiencing homelessness. We can treat people experiencing homelessness or housing stress with dignity and respect. If we see someone in the street experiencing homelessness, we can stop and engage.
Mental health
Mental health and wellbeing, just like physical health, exist on a spectrum. Mental illnesses, such as anxiety, depression, and substance abuse disorders are common, affecting millions of Australians of all ages and backgrounds. It is also important to recognise that less severe mental health concerns still undermine the mental wellbeing of too many Australians.
Any number of factors can contribute to a person’s experience of mental ill health, particularly economic stresses such as unemployment and homelessness, and social factors including family and domestic violence, discrimination and exclusion, loneliness and social isolation. Minor mental health problems can develop into more significant illness and this can have monumental negative impacts upon every component of a person’s work, social and family life. People experiencing significant mental illness can find it difficult to maintain employment, stable housing, connection to loved ones, and even physical health.
While significant progress has been made in recent years to raise awareness and improve access to mental health services, challenges persist in addressing the diverse needs of the population. Access to mental health services remains a critical issue, particularly in regional and remote areas where services are often limited or inaccessible. Long wait times, high costs, and a lack of culturally appropriate services can create barriers to seeking help for those in need. Additionally, stigma surrounding mental illness continues to deter individuals from seeking support and can exacerbate feelings of shame and isolation.
Mental illness does not discriminate. It is important that anyone experiencing mental ill health can access timely, non-judgmental and effective support so everyone can achieve and maintain mental health and wellbeing.
People living with mental ill health are likelier to develop a physical illness and are more likely to be hospitalised for preventable reasons.[29]
People living with mental illnesses have a life expectancy 10 to 15 years shorter than the general population, and this trend is growing.[30]
44% experienced mental ill health
44 per cent of the population, approximately 8.6 million Australians, have experienced mental ill health at some point in their life.[31]
4.2M in the past 12 months
21 per cent of Australians (4.2 million people) have experienced mental ill health in the past 12 months.[32]
We have the power to make a difference
We can urge action from our governments
Economic and social factors can negatively impact a person’s mental health. Systemic issues such as poverty, housing insecurity, family and domestic violence and other social and economic factors need to be addressed for any mental health strategy to be effective.
Governments can work together to implement diverse, ambitious, evidence-based trial programs to explore new approaches and deliver active outreach. One key priority is fixing the issue of the “missing middle” of mental health care provision, to address mental ill health before a person reaches a crisis.
We can implement change in our community and our workplaces
It is critical that workplaces treat employees’ and volunteers’ mental health and wellbeing as an element of Workplace Health and Safety (WHS). One action workplaces can take is to offer relevant staff and volunteers, including managers, leaders and senior staff members, training in mental health first aid just as we do physical first aid.
Our community groups can be powerful in providing social connection that can build resilience against mental ill health. It is important that we make sure that our events, activities, and spaces are welcoming for all people and do not create stigma around mental ill health.
We can have influence in our personal lives
In our own lives we can find strategies to build positive mental health and wellbeing. This includes asking for help when it is needed and finding out about local supports and services to foster positive mental health and address mental health concerns.
We can talk to the people in our lives if we are worried about their mental health, ask if they are okay, listen and help them to access support. If you are not sure what to say, there are helpful resources online.
Access to Health care
Good health is fundamental to the quality of life all people deserve. Accessing quality health care early is critical to prevent a minor health problem becoming a serious chronic condition, which can have significant economic and lifestyle implications.
Unfortunately, many Australians cannot access suitable health care for a variety of reasons, including cost, availability of professionals, and capacity to take time away from other responsibilities.
Certain groups of people in Australia are more likely to experience barriers to accessing quality health care. These include rural and remote communities, lower income areas, people experiencing financial hardship, people from culturally and linguistically diverse backgrounds, and Aboriginal and Torres Strait Islander people.
The COVID-19 pandemic highlighted the importance of quality health care for all people. The pandemic also exposed, and even made worse, many gaps and shortfalls in Australia’s health care system, including staffing shortages and insufficient hospital beds. The impacts of this were disproportionately felt by people who were already experiencing disadvantage.
Some people are more likely to receive poor-quality care or have negative experiences with health services. For example, two-thirds of women report experiencing gender bias or discrimination when accessing health care.[33] Many Aboriginal and Torres Strait Islander people and people from culturally and linguistically diverse backgrounds receive care that is not culturally safe, from language barriers to discrimination and racism.[34],[35] Some Aboriginal and Torres Strait Islander people report deciding not to access a health service due to fear or embarrassment.[36]
Issues with availability, affordability, accessibility, and quality of health care often lead to health conditions going unmonitored, unmanaged and becoming more difficult to treat. The impact of an untreated health condition can impact other areas of life, including relationships with others, and housing or employment security.
Inequitable access to health care has negative consequences for individuals, the community, and our economy.
Waited 24 hoursor more
45.6 per cent of people who saw a General Practitioner (GP) for urgent medical care waited for 24 hours or more.[37]
7%
Seven per cent of people say cost was a reason for delaying a visit to or not using a GP. This is up from 3.5 per cent in 2021-22.[38]
1 in 3 offer bulk billing
Only around one in three Australian GP clinics offer bulk billing to adults. In some electorates there are no bulk billing GPs.[39]
We have the power to make a difference
We can urge action from our governments
Governments can work together to increase funding and flexibility in primary health care to encourage more bulk billed GP visits and to provide more clinicians in primary care such as nurses and allied health professionals.[40]
We can explore funding models that allow rural and remote communities to design innovative and sustainable models of primary care that address the needs of local communities.[41]
We can increase investment in Aboriginal Community Controlled Health Organisations (ACCHOs) to provide culturally informed and holistic health services that address local community needs and work to close the gap on health and wellbeing inequality for First Nations peoples.[42]
We should expect health services in Australia to be safe and equitable for all. We can push for governments to increase investment in healthcare research with an intersectional gendered lens to improve women’s treatment in the health system.[43]
Governments must identify and address barriers that exist across the nation to ensure equitable access to culturally safe and gender-responsive health care.
We can implement change in our community and our workplaces
When we organise events for our community groups and workplaces we can prioritise events and activities that are compatible with, or even promote, positive health and wellbeing. Where we can influence our workplaces, wherever possible, we should provide options for flexible work arrangements that allow people to effectively manage their health around work.
We can have influence in our personal lives
We can invest in our health by getting regular physical activity and eating fresh and nutritious foods, where possible. We can take action early when unwell, and encourage family and friends to do the same.
Financial hardship and inclusion
Although poverty is often hidden in Australia, it can be a crushing reality for those experiencing it. Financial hardship often involves making impossible choices between essentials — food or rent — and being in a near constant state of worry and stress about having your basic needs met. Stress around financial pressures can have negative impacts on people’s health and wellbeing. Fear, shame, and the feeling of being trapped cause significant harm, and individuals may withdraw from community and friendships, becoming isolated. Experience of poverty can easily change a person’s life trajectory, impacting employment, housing, education and health outcomes for much of their life.[44]
Many Australians are only a few financial shocks away from severe financial hardship, that could look like losing a job, sudden or chronic illness or a relationship ending. It’s important that we build our system so that a financial shock does not mean long-term experiences of poverty. Unfortunately, our current social welfare system is not fit for purpose. People who are relying on income support payments are unable to afford necessities, often having to go without meals, falling behind in payments, or having to access debt to stay afloat. This is the case no matter how savvily or carefully they budget. Such a low income makes it hard to find secure and stable employment and can lead to long-term unemployment, social isolation, entrenched poverty, and intergenerational disadvantage.
Cost of living pressures are affecting almost all Australians but they are not affecting us equally. It is critical that we make sure those who are doing it toughest can still have their needs met.
3.3M living below the poverty line
In 2022, there were 3.3 million people (13.4 per cent) living below the poverty line, including 761,000 children (16.6 per cent).[45]
$8 per week left after essentials
The 2024 Red Shield Appeal report found that people accessing emergency relief had $8 a week left after essential spending such as housing and groceries. Respondents who were reliant on government payments went backwards and had -$2 after essentials.[46]
Poverty is more pronounced for women than men, with larger gender differences in rates of poverty for young women and women aged 55 and over.[47]
People who experience childhood poverty are up to 3.3 times more likely to remain in poverty in adult life.[48]
We have the power to make a difference
We can urge action from our governments
Our social safety net is failing people. The Commonwealth Government needs to review and radically increase the rates of income support, such as JobSeeker and Youth Allowance, so that unemployment does not mean long-term poverty.
Governments need to work together to prioritise ending homelessness and housing stress. A commitment and concrete plan to increase social housing to at least 10 per cent of housing stock in Australia is a key intervention that will ease housing stress across our community.
We can implement change in our community and our workplaces
Workplaces and community groups often support causes through fundraising and learning opportunities. Poverty is a foundational social justice issue that leads to, results from, or exacerbates every other disadvantage in this report. When we are choosing a cause to highlight, we can choose ones that address the underlying issue of financial hardship.
When organising events, activities and memberships we can keep in mind that cost may be a barrier to some people participating. We can actively keep the individual cost of participation as low as possible and consider providing bursaries or scholarships to assist with costs that can be accessed without shame or stigma.
We can have influence in our personal lives
We can give to or volunteer with groups that are working to support people experiencing poverty. While structural issues need to be addressed, in the meantime there are already so many people doing what they can and so many opportunities to get involved. Acting in our own communities, we can make a difference for people one at a time.
Alcohol and drug misuse
Harmful alcohol and other drug use in Australia represents a significant public health concern, with wide-ranging social, economic, and health implications. Despite extensive efforts to address this issue, it remains a persistent challenge affecting individuals, families, and communities across the country.
Not all alcohol and drug use results in dependence or causes serious issues. In this context, we use the terminology “alcohol and drug misuse” to refer to substance use which incurs harm.
Some of the harm that can be associated with alcohol and drug misuse for individuals includes impacts on health and wellbeing, relationships, employment, and education. For the community, some of the harm from alcohol and drug misuse can include increased contact with the justice system, disease and injury, road accidents, and the exacerbation of mental ill-health and family and domestic violence.
Alcohol and other drug-related harm is both a driver and result of other forms of disadvantage. Often a person experiencing alcohol or other drug-related harm is also experiencing multiple disadvantages at once. Substance use itself can be disruptive to the brain, making it harder to change behaviour — even if a person wants to.
According to the National Drug Strategy Household Survey, in 2022-23 around 47 per cent of Australians aged 14 and over had used a non-prescribed drug at some point in their life (including pharmaceuticals used for non-medical purposes) and 16.4 per cent had used one in the last 12 months.[49]
It is also estimated that around one in 20 Australians have lived experience of alcohol or drug misuse.
1742 alcohol-induced deaths recorded in 2022
There were 1742 alcohol-induced deaths recorded in 2022. This was a 9.1 per cent increase on 2021.[50]
Almost one in two Australians have engaged in non-prescribed substance use in their lifetime.[51]
1 in 5
More than one in five Australians (21 per cent) aged 14 and over have been verbally or physically abused, or put in fear by another person who was under the influence of alcohol.[52]
Cost of addiction: $80.3B
In 2021 the cost of addiction in Australia was estimated at $80.3 billion.[53]
We have the power to make a difference
We can urge action from our governments
Governments can work together by investing in harm reduction and treatment services so that the health problems primarily associated with substance misuse can be mitigated.
When planning policy to address alcohol and drug use, governments need to understand the needs of local populations, particularly the voices of lived experience, to provide accessible alcohol and other drug treatment systems embedded within the wider welfare system to create pathways and services to better engage, maintain and transition people from treatment.
Alcohol and other drug misuse often occurs alongside other forms of disadvantage. Policy responses need to be holistic, tailored, and culturally appropriate, and focus on harm reduction and early intervention.
We can implement change in our community and our workplaces
Social connection is a supportive factor in minimising harm from alcohol and drug use. Community groups in particular have the power to ensure their events and activities are supportive and non-judgmental to create pathways for all people to build hopeful, purposeful, and meaningful lives.
Workplaces can incorporate understanding of alcohol and drug use, and the impact on health and wellbeing, in our wellbeing policies and supports (such as Employee Assistance Program which provides counselling to employees for a range of concerns).
We can have influence in our personal lives
Alcohol and drug misuse is a health issue and it can take great effort and courage to seek help. Instead of judging, we can listen and connect with people and reduce the stigma associated with substance use.
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